Phoenix American Medical, LLC Hiring for Operations Manager Job at Spring Hill, FL Full Time

**MEDICAL EXPERIENCE A MUST** Traveling Required**

SUMMARY

Manages all activities related to operations and development of company products by performing the following duties personally or through subordinate supervisors.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Visit with assigned owned and affiliate offices on a monthly basis to review Medicare related financial and quality reporting; provide education; work with offices to resolve issues; and maintain close relationships with physician and office staff.
• Prepare and analyze reports to assist physician in meeting financial, MRA, and quality (HEDIS, PQRS) goals.
• Onboarding and in-servicing of newly assigned offices.
• Managing physician practice issues and questions via phone calls and e-mail by working with internal teams and health plan representatives.
• Administrative tasks such as writing letters, writing e-mails, updating directories, communicating with health plans.
• Writing visit reports and summaries to share with leadership team.

Supervisory Responsibilities:

This position has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

Associate’s degree (A. A.) or equivalent from two-year college or technical school; or three months to one year related experience and/or training; or equivalent combination of education and experience.

Preferred Qualifications:

• 5 years experience in the Medicare risk field with experience in working with Primary Care physicans to meet financial, MRA and HEDIS goals.
• Knowledge of HEDIS 5 Star and experience working reports.
• High level customer service skills.
• Medical experience

Communication Skills:

Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.

Reasoning Ability:

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Computer Skills:

• High level of knowledge of MS Office including Excel, Office, Outlook and Powerpoint.
• Knowledge of Accureports or other claim reporting systems.
• Knowledge of health plan portals and how use these portals including: Availity, Freedom/Optimum

Travel Requirements:

The employee is constantly required to drive up to 25 miles and frequently up to 100 miles in order to carry out their duties. Occasionally the employee will be required to drive over 100 miles, including for overnight or out of town travel.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is constantly required to sit and use hands to operate telephone, type and operate computer and mouse. The employee is frequently required to talk, hear, and bend and twist neck. The employee may occasionally lift and/or move up to 10 pounds and rarely lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and distance vision.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is in a typical office environment. The noise level in the work environment is usually moderate, but occasionally noisy.

Job Type: Full-time

Pay: From $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Ability to commute/relocate:

• Spring Hill, FL 34606: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Supervising: 1 year (Preferred)
• HEDIS: 1 year (Preferred)

License/Certification:

• LPN (Preferred)
• Certified Medical Assistant (Preferred)

Willingness to travel:

• 25% (Required)

Work Location: One location